腹膜透析患者疾病感知与应对方式的相关性调查

Correlation of illness perception and coping styles in peritoneal dialysis patients

目的探讨腹膜透析(PD)患者疾病感知与应对方式的相关性。方法采用便利抽样方法,选取2017年4~10月在广西医科大学第一附属医院肾内科腹膜透析中心就诊的78例维持性腹膜透析患者,运用一般资料调查表、简易疾病感知问卷(BIPQ)、医学应对问卷(MCMQ)进行问卷调查。采用Pearson相关分析方法分析PD患者疾病感知与应对方式的相关性。结果本组78例PD患者疾病感知得分为(47.18±6.31)分,处于中等水平;应对方式各维度得分分别为面对(16.46±5.81)分,回避(14.49±5.66)分,屈服(12.62±4.72)分;疾病感知与应对方式屈服维度呈正相关(r=0.665,P<0.01),与面对维度呈负相关(r=-0.557,P<0.01)。结论 PD患者疾病感知与应对方式相关,临床护理人员应实施个体化干预,引导患者采用积极的应对方式,以改善患者的疾病感知状况,从而提高患者的遵医行为和生存质量。

Objective To explore the correlation of illness perception and coping styles among peritoneal dialysis（PD） patients. Methods Samples of 78 PD patients were collected by convenience sampling from Peritoneal Dialysis Center, the Fist Affiliated Hospital of Guangxi Medical University from April 2017 to October 2017, which were investigated with the self-designed general information questionnaire, Brief Illness Perception Questionnaire（BIPQ）, and Medical Coping Modes Questionnaire（MCMQ）. Spearman correlation analysis was used to analyze the relationship between illness perception and coping style. Results The scores of peritoneal patients＇ illness perception was（47.18±6.31） for the 78 PD patients, which was at a moderate level. The scores of MCMQ in patients with PD were（16.46±5.81） for confrontation dimension,（14.49±5.66） for avoidance dimension, and（12.62±4.72） for acceptance dimension. There was a significant positive correlation between illness perception and acceptance dimension（r=0.665, P0.01）, and significant negative correlation between illness perception and confrontation dimension（r=-0.557, P0.01）. Conclusion Peritoneal patients＇ illness perception and coping style are correlated. Clinical nurses should use intervene measures individually, guide patients to adopt positive coping style to improve their illness perception, and improve their compliance behavior and quality of life.